DANNIE NAINGGOLAN

POMONA, CA
NPI1174388375
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
Enumeration Date2024-02-16
Last Update Date2024-10-17
Business Address
DANNIE NAINGGOLAN
2008 N GAREY AVE
POMONA, CA 91767-2722
Phone number: 909-623-6131
Mailing Address
DANNIE NAINGGOLAN
2008 N GAREY AVE
POMONA, CA 91767-2722
Phone number: 909-623-6131